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Paper commissioned by the Committee on Patterns of Use and Health Effects of Premium Cigars and Priority Research (Appendix D)

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The effects include: Loss of sense of smell Nose damage or collapse Damage to lungs Intestinal tears, ulcerations and gangrene Increased risk of stroke Heart inflammation Cardiac arrest or attack Muscle breakdown Seizures Bleeding in the brain Cognitive problems like memory loss and difficulty making decisions Parkinsons disease (after many years of use) Cocaine use during pregnancy can have similar consequences on the unborn child

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Unlike alcohol DWI cases with a 0.08% blood alcohol threshold, marijuana DWI cases rely entirely on officer observations, field sobriety test performance, statements about recent use, and Drug Recognition Expert evaluations